| NPI | 1508525007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001679) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401019037) |
| 101YP2500X Counselor, Professional (Licence: MI 6401019037) | |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2024-05-08 |